Though structured as a ‘baseline report’ for the ongoing impact evaluation of Service Delivery Grants in Cambodia, the purpose of this report is two-fold: to provide an overview of the health system innovation in Cambodia that constituted the backdrop for the Health Equity and Quality Improvement Project (H-EQIP) and for the specific interventions which are being evaluated here; and to present the baseline findings of the Service Delivery Grants (SDG) impact evaluation.
... See More + In the light of these two objectives, the report also includes a discussion and outlines some policy implications on these themes that are embedded in the closing chapter of the report.
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This paper will evaluate the effect of the Chiranjeevi Yojana program, a public-private partnership to improve maternal and neonatal health in Gujarat, India.
... See More + A household survey was conducted in Gujarat to collect retrospective data on births within the preceding 5 years. In an observational study using a difference-in-differences design, the relationship between the Chiranjeevi Yojana program and the probability of delivery in health-care institutions, the probability of obstetric complications and mean household expenditure for deliveries was subsequently examined. In multivariate regressions, individual and household characteristics as well as district and year fixed effects were controlled for. Data from the most recent district level household and facility survey (DLHS-3) wave conducted in Gujarat were used in parallel analyses. Between 2005 and 2010, the Chiranjeevi Yojana program was not associated with a statistically significant change in the probability of institutional delivery (2.42 percentage points; 95 percent confidence interval or of birth-related complications (6.16 percentage points; 95 percent). Estimates using DLHS-3 data were similar. Analyses of household expenditures indicated that mean household expenditure for private-sector deliveries had either not fallen or had fallen very little under the Chiranjeevi Yojana program. The Chiranjeevi Yojana program appears to have had no significant impact on institutional delivery rates or maternal health outcomes. The absence of estimated reductions in household spending for private-sector deliveries deserves further study.
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When resources are scarce and social safety nets are weak, households' ability to manage income and assets wisely may be an important determinant of economic security.
... See More + However, many open questions remain about how households in low and middle-income countries gain and exercise financial capability, and the best ways for governments and the private and nonprofit sector to help increase this capability. With the exception of a small but important number of studies that have recently been completed or are currently under way, robust evidence regarding the efficacy of financial capability interventions is relatively sparse compared to the level of interest and programmatic activity. One reason for this is a lack of systematic evaluation. The toolkit draws from past experience and the experience of the Russia Financial Literacy and Education Trust Fund pilot projects to provide concrete and tangible examples for the reader that illustrate the specific circumstances and challenges in this field. This toolkit is designed for researchers who are interested in conducting an evaluation of a financial capability program and for policy makers and practitioners interested in commissioning an evaluation. It will also be useful to evaluation researchers who want to brush up on a research technique they are less familiar with or who are new to the area of financial capability and financial education, particularly in Low, and Middle-Income Countries (LMIC). This toolkit is intended to be a practical, hands-on guide to designing, conducting, and analyzing financial capability evaluations, with a focus on doing so in LMICs. The toolkit covers a wide range of material on how to design, conduct and analyze evaluations, material that is spread out over the 13 chapters that follow. The chapters are contained within four overarching parts: setting the stage for monitoring and evaluation (M&E): understanding the M&E process and concepts (chapters 2-3); conducting M&E for financial capability programs (chapters 4-7); collecting and analyzing M&E Data for Financial Capability Programs (chapters 8-10); and other Issues in conducting M&E for financial capability programs (chapters 11-14).
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When resources are scarce and social safety nets are weak, households' ability to manage income and assets wisely may be an important determinant of economic security.
... See More + However, many open questions remain about how households in low and middle-income countries gain and exercise financial capability, and the best ways for governments and the private and nonprofit sector to help increase this capability. With the exception of a small but important number of studies that have recently been completed or are currently under way, robust evidence regarding the efficacy of financial capability interventions is relatively sparse compared to the level of interest and programmatic activity. One reason for this is a lack of systematic evaluation. The toolkit draws from past experience and the experience of the Russia Financial Literacy and Education Trust Fund pilot projects to provide concrete and tangible examples for the reader that illustrate the specific circumstances and challenges in this field. This toolkit is designed for researchers who are interested in conducting an evaluation of a financial capability program and for policy makers and practitioners interested in commissioning an evaluation. It will also be useful to evaluation researchers who want to brush up on a research technique they are less familiar with or who are new to the area of financial capability and financial education, particularly in Low, and Middle-Income Countries (LMIC). This toolkit is intended to be a practical, hands-on guide to designing, conducting, and analyzing financial capability evaluations, with a focus on doing so in LMICs. The toolkit covers a wide range of material on how to design, conduct and analyze evaluations, material that is spread out over the 13 chapters that follow. The chapters are contained within four overarching parts: setting the stage for monitoring and evaluation (M&E): understanding the M&E process and concepts (chapters 2-3); conducting M&E for financial capability programs (chapters 4-7); collecting and analyzing M&E Data for Financial Capability Programs (chapters 8-10); and other Issues in conducting M&E for financial capability programs (chapters 11-14).
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